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姜×,男,23岁,住院号143510。1975年7月出现“三多”症状,1976年1月测空腹血糖为345毫克％,尿糖(+++),确诊糖尿病。用饮食控制,加用D_(860)3克/日和降糖灵75毫克/日治疗,血糖波动于100～200毫克％。1977年6月改用降糖灵150毫克/日治疗。6月29日擅自服降糖灵10片(总量250毫克,分5次服),当天下午出现阵发性上腹疼痛、头晕伴恶心呕吐咖啡色液体,次晨因意识不清、抽搐、小便失禁、血糖23毫克％、尿糖(-)、尿酮体(+++)入院。入院检查:体温38.1℃,脉搏107次/分,呼吸40次/分,血压150/96毫米汞柱。发育中等,消瘦,面部潮红,神志不清,二眼有白内障,压眶反应消失,颈有抵抗感,膝反射消失,划蹠试验阳性。心、肺无异常。腹软,肝肋下一指、质软。血白细胞38400/立方毫米、中性90％、淋
Ginger ×, male, 23 years old, hospital number 143510. July 1975 appeared “more than three” symptoms, measured in January 1976 fasting blood glucose was 345 mg%, urine sugar (+++), diagnosed with diabetes. With diet control, plus D_ (860) 3 g / day and hypoglycemic 75 mg / day treatment, blood glucose fluctuations of 100 to 200 mg%. In 1977 June to use hypoglycemic 150 mg / day treatment. June 29 without hypoglycemic spirit 10 (total 250 mg, divided into 5 times service), the afternoon paroxysmal abdominal pain, dizziness with nausea and vomiting brown liquid, the next morning due to confusion, convulsions, urinary incontinence, Blood glucose 23 mg%, urine sugar (-), urine ketone body (+++) admitted. Admission examination: body temperature 38.1 ℃, pulse 107 beats / min, breathing 40 beats / min, blood pressure 150/96 mm Hg. Development of moderate, weight loss, facial flushing, confusion, two cataracts, orbital reaction disappeared, the neck has a sense of resistance, knee reflex disappeared, plantar test positive. Heart, lungs without exception. Abdomen soft, liver ribs under one, soft. Blood white blood cells 38400 / cubic mm, 90% neutral, leaching